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NPI Code Detail

MEDICARE: ALISON RUPPEL RD

MEDICARE: ALISON RUPPEL RD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian1635WI

General Provider Information

NPI Number : 1164457313
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISON RUPPEL RD
Provider Business Mailing Address
First Line : 1265 JOHN Q HAMMONS DR
Second Line :
City : MADISON
State : WI
Zip : 53717-1941
Country : US
Telephone Number : 608-251-4156
Fax Number : 608-257-3842
Provider Business Practice Location Address
First Line : 3051 CAHILL MAIN
Second Line :
City : FITCHBURG
State : WI
Zip : 53711-7109
Country : US
Telephone Number : 608-661-7200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 07/08/2007

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